Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 247778 | NY |
N | 207N00000X | Dermatologist | A 109486 | CA |
Y | 207ND0101X | MOHS-Micrographic Surgeon | A 109486 | CA |
NPI | 1053468934 |
---|---|
Provider Name | Dr. Frank Qian Zhan |
First Address | Redlands, CA 92373-0722 |
Second Address | Highland, CA 92346-3348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 21/10/2009 |